Women & Newborn Health Nursing Questions
and Answers
What does gravida mean? - ✅✅Gravida= # of times pregnant regardless of outcome.
What does nulligravida mean? - ✅✅Nulligravida= never pregnant.
What does primigravida mean? - ✅✅Primigravida= pregnant for the first time.
What does multigravida mean? - ✅✅Multigravida= pregnant 2 or more times.
What does grandmultigravida mean? - ✅✅Grandmultigravida= pregnant 5 or more times.
What does para/parity mean? - ✅✅Para/parity= # of deliveries after 20 wks gestation, alive or
stillborn.
What does nullipara mean? - ✅✅Nullipara= never given birth.
What does primipara mean? - ✅✅Primipara= given birth to one child after 20 wks gestation.
What does multipara mean? - ✅✅Multipara= given birth two or more times after 20 wks gestation.
What does grandmultipara mean? - ✅✅Grandmultipara= given birth 5 or more times after 20 wks
gestation.
What is the parity 4-digit system? - ✅✅Taking all of your parity and classifying it between term,
preterm, abortions, & living children P(TPAL).
What is term considered? - ✅✅Term= delivered after start of 38th wk.
,What is preterm considered? - ✅✅-Preterm= delivered after start of 20th wk through less than 37
completed wks.
-At 38 wks we say, "term".
What is an abortion considered? - ✅✅Abortion= delivered before 20th wk.
True or false?: Delivery is not considered abortion if the patient had a miscarriage. - ✅✅False,
delivery is considered an abortion regardless of whether the patient had an elective abortion or
miscarriage. "Miscarriage" is lay-term for abortion.
What is important to remember when counting living children? - ✅✅Sometimes you count living
children twice (i.e.; Maybe mother delivered a preterm baby at 20 wks, who's now a 2-year-old child.
That child would count under preterm b/c it was delivered after at 20 wks & as a living child).
GP Activity #1: Jenny has been pregnant three times. Her first pregnancy ended in an abortion, her
second ended in a miscarriage at 11 wks and the third pregnancy was a girl delivery at 30 wks who is
now a healthy 3-year-old. What is her GTPAL?Wh - ✅✅G____ P___(T___P____A____L_____)
Answer: G3 P1 (T0, P1, A2, L1)
Rationale:
-Gravida: Defined as all pregnancies regardless of the outcome. The prompt states, "Jenny has been
pregnant three times". This indicates that gravida is 3.
-Parity: Defined as the # of deliveries after 20 wks. gestation. The prompt states, "...the third pregnancy
was a girl delivered at 30 weeks". This indicates that parity is 1.
-Term: Defined as delivered after the start of the 38th wk. Therefore, term is 0.
-Preterm: Defined as less than 38 wks. The prompt states, "...the third pregnancy was a girl delivered at
30 weeks". This indicates that preterm is 1.
-Abortion: Defined as delivered before 20th wk. The prompt states, "Her first pregnancy ended in
abortion, her second ended in miscarriage at 11 wks". This indicates that abortion is 2.
-Living Children: The prompt states, "...who is now a healthy three-year-old". Therefore, we know living
children is 1.
,GP Activity #2: Sophie is 11 weeks pregnant. She has a 5-year-old girl and a 3-year-old boy at home. The
girl was born at 35 wks gestation & her son was born at 41 wks gestation. She had a miscarriage at 10
wks gestation between both her living children. What is her GTPAL? - ✅✅G____
P___(T___P____A____L_____)
Answer: G4 P2 (T1, P1, A1, L2)
Rationale:
-Gravida: Remember she is currently pregnant.
-Parity: Defined as the # of deliveries after 20 wks. gestation. The prompt states, "She has a 5-year-old
girl and a 3-year-old boy at home. The girl was born at 35 wks gestation & her son was born at 41 wks
gestation". This indicates that parity is 2.
-Term: Defined as delivered after the start of the 38th wk. The prompt states, "...her son was born at 41
wks gestation". This indicates that term is 1.
-Preterm: Defined as less than 38 wks. The prompt states, "The girl was born at 35 wks gestation..." This
indicates that preterm is 1.
-Abortion: Defined as delivered before 20th wk. The prompt states, "She had a miscarriage at 10 wks
gestation between both her living children". This indicates that abortion is 1.
What tools gives us the most accurate information about gestation? - ✅✅First trimester ultrasound.
What is Naegle's rule used for? What is the formula for Naegle's rule? - ✅✅-Naegle's rule is used to
determine the expected date of confinement or the expected date of birth of the baby.
-Subtract three months from the first day of the last menstrual period, then add seven days, finally, add
a year (when appropriate).
**Assumes 28 day cycle & that conception occurred on the 14th day.
Naegle's Rule Activity #1: The first day of the last menstrual period is 3/16/2019. What's the due date? -
✅✅12/23/2019.
, Naegle's Rule Activity #2: The first day of the last menstrual period is 4/17/2019. What's the due date? -
✅✅1/24/20.
Naegle's Rule Activity #3: The first day of the last menstrual period is 12/15/2012. What's the due date?
- ✅✅9/22/12.
"Family Centered Care" is based on what 3 principles? - ✅✅1.) Personal preferences.
2.) Values.
3.) Families.
What main benefit to patient care does evidence-based practice provide? - ✅✅Evidence-based
practice increases outcomes.
Where do we find Evidence-Based Standards of Practice of Perinatal nursing? - ✅✅AWON
(Association of Women's Health & Neonatal Nursing).
What is the definition of maternal mortality rate? - ✅✅Maternal Mortality Rate= the annual death
rate of women while pregnant or within 42 days after termination of pregnancy.
What is the definition of neonatal mortality rate? - ✅✅Neonatal Mortality Rate= newborn death
occurring w/in 28 days.
What is definition infant mortality rate? - ✅✅Infant Mortality Rate= # of deaths occurring the first 12
months of life.
How does the maternal mortality rate in America compare with other countries? - ✅✅We have one
of the worst maternal mortality ratings in developed countries.
Why is it important to study the infant mortality rate of a country? - ✅✅It is an index of the health of
a country.
and Answers
What does gravida mean? - ✅✅Gravida= # of times pregnant regardless of outcome.
What does nulligravida mean? - ✅✅Nulligravida= never pregnant.
What does primigravida mean? - ✅✅Primigravida= pregnant for the first time.
What does multigravida mean? - ✅✅Multigravida= pregnant 2 or more times.
What does grandmultigravida mean? - ✅✅Grandmultigravida= pregnant 5 or more times.
What does para/parity mean? - ✅✅Para/parity= # of deliveries after 20 wks gestation, alive or
stillborn.
What does nullipara mean? - ✅✅Nullipara= never given birth.
What does primipara mean? - ✅✅Primipara= given birth to one child after 20 wks gestation.
What does multipara mean? - ✅✅Multipara= given birth two or more times after 20 wks gestation.
What does grandmultipara mean? - ✅✅Grandmultipara= given birth 5 or more times after 20 wks
gestation.
What is the parity 4-digit system? - ✅✅Taking all of your parity and classifying it between term,
preterm, abortions, & living children P(TPAL).
What is term considered? - ✅✅Term= delivered after start of 38th wk.
,What is preterm considered? - ✅✅-Preterm= delivered after start of 20th wk through less than 37
completed wks.
-At 38 wks we say, "term".
What is an abortion considered? - ✅✅Abortion= delivered before 20th wk.
True or false?: Delivery is not considered abortion if the patient had a miscarriage. - ✅✅False,
delivery is considered an abortion regardless of whether the patient had an elective abortion or
miscarriage. "Miscarriage" is lay-term for abortion.
What is important to remember when counting living children? - ✅✅Sometimes you count living
children twice (i.e.; Maybe mother delivered a preterm baby at 20 wks, who's now a 2-year-old child.
That child would count under preterm b/c it was delivered after at 20 wks & as a living child).
GP Activity #1: Jenny has been pregnant three times. Her first pregnancy ended in an abortion, her
second ended in a miscarriage at 11 wks and the third pregnancy was a girl delivery at 30 wks who is
now a healthy 3-year-old. What is her GTPAL?Wh - ✅✅G____ P___(T___P____A____L_____)
Answer: G3 P1 (T0, P1, A2, L1)
Rationale:
-Gravida: Defined as all pregnancies regardless of the outcome. The prompt states, "Jenny has been
pregnant three times". This indicates that gravida is 3.
-Parity: Defined as the # of deliveries after 20 wks. gestation. The prompt states, "...the third pregnancy
was a girl delivered at 30 weeks". This indicates that parity is 1.
-Term: Defined as delivered after the start of the 38th wk. Therefore, term is 0.
-Preterm: Defined as less than 38 wks. The prompt states, "...the third pregnancy was a girl delivered at
30 weeks". This indicates that preterm is 1.
-Abortion: Defined as delivered before 20th wk. The prompt states, "Her first pregnancy ended in
abortion, her second ended in miscarriage at 11 wks". This indicates that abortion is 2.
-Living Children: The prompt states, "...who is now a healthy three-year-old". Therefore, we know living
children is 1.
,GP Activity #2: Sophie is 11 weeks pregnant. She has a 5-year-old girl and a 3-year-old boy at home. The
girl was born at 35 wks gestation & her son was born at 41 wks gestation. She had a miscarriage at 10
wks gestation between both her living children. What is her GTPAL? - ✅✅G____
P___(T___P____A____L_____)
Answer: G4 P2 (T1, P1, A1, L2)
Rationale:
-Gravida: Remember she is currently pregnant.
-Parity: Defined as the # of deliveries after 20 wks. gestation. The prompt states, "She has a 5-year-old
girl and a 3-year-old boy at home. The girl was born at 35 wks gestation & her son was born at 41 wks
gestation". This indicates that parity is 2.
-Term: Defined as delivered after the start of the 38th wk. The prompt states, "...her son was born at 41
wks gestation". This indicates that term is 1.
-Preterm: Defined as less than 38 wks. The prompt states, "The girl was born at 35 wks gestation..." This
indicates that preterm is 1.
-Abortion: Defined as delivered before 20th wk. The prompt states, "She had a miscarriage at 10 wks
gestation between both her living children". This indicates that abortion is 1.
What tools gives us the most accurate information about gestation? - ✅✅First trimester ultrasound.
What is Naegle's rule used for? What is the formula for Naegle's rule? - ✅✅-Naegle's rule is used to
determine the expected date of confinement or the expected date of birth of the baby.
-Subtract three months from the first day of the last menstrual period, then add seven days, finally, add
a year (when appropriate).
**Assumes 28 day cycle & that conception occurred on the 14th day.
Naegle's Rule Activity #1: The first day of the last menstrual period is 3/16/2019. What's the due date? -
✅✅12/23/2019.
, Naegle's Rule Activity #2: The first day of the last menstrual period is 4/17/2019. What's the due date? -
✅✅1/24/20.
Naegle's Rule Activity #3: The first day of the last menstrual period is 12/15/2012. What's the due date?
- ✅✅9/22/12.
"Family Centered Care" is based on what 3 principles? - ✅✅1.) Personal preferences.
2.) Values.
3.) Families.
What main benefit to patient care does evidence-based practice provide? - ✅✅Evidence-based
practice increases outcomes.
Where do we find Evidence-Based Standards of Practice of Perinatal nursing? - ✅✅AWON
(Association of Women's Health & Neonatal Nursing).
What is the definition of maternal mortality rate? - ✅✅Maternal Mortality Rate= the annual death
rate of women while pregnant or within 42 days after termination of pregnancy.
What is the definition of neonatal mortality rate? - ✅✅Neonatal Mortality Rate= newborn death
occurring w/in 28 days.
What is definition infant mortality rate? - ✅✅Infant Mortality Rate= # of deaths occurring the first 12
months of life.
How does the maternal mortality rate in America compare with other countries? - ✅✅We have one
of the worst maternal mortality ratings in developed countries.
Why is it important to study the infant mortality rate of a country? - ✅✅It is an index of the health of
a country.
